Effects of Masseter Manual Therapy on Temporomandibular Dysfunction

Phase 1

• Conditions: Temporomandibular Joint; Temporomandibular Joint Dysfunction Syndrome; Temporomandibular Joint Disorder
• Interventions: Procedure: Active release techniques

• Registration Number: NCT00870922
• Lead Sponsor: Logan College of Chiropractic

Brief Summary

Muscles and myofascial dysfunction are more often the mechanism and source of pain in oral fascial disorders (OFD) than the TMJ. Masticatory muscles in patients with TMJ alterations are more hypertonic, less efficient and more prone to fatigue compared to age and sex matched controls. It is our opinion that Active Release Technique can be a reliable assessment and treatment tool in the resolution in cervical-cranio mandibular disorders. Our goal is to improve masticatory function through treatment of trigger points in the masseter.

Detailed Description

Recruit 45 patients with TMD determined by questionnaire. Measure pre and post mandibular active range of motion and VAS pain scale. Treatment will include 4 visits over a two week span measuring before first treatment and after last treatment. There will be 3 treatment groups; active release technique, post isometric relaxation and a no treatment control group. We will analyze data for any change in mandibular range of motion and VAS pain scale.

Study Timeline

• Status Verified: 2009-03
• Study Start: 2009-03
• Study First Submitted: 2009-03-25
• Study First Submitted QC: 2009-03-25
• Last Update Submitted: 2009-03-25
• Study First Posted: 2009-03-27
• Last Update Posted: 2009-03-27
• Primary Completion: 2009-05
• Study Completion: 2009-05

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

• Difficulty and/or pain when opening mouth
• Jaw locking
• Difficulty or pain when chewing or talking
• TMJ clicking
• Jaw stiffness, tightness, or fatigue
• Pain in ear, temple or cheeks
• Frequent headaches, neckaches, toothaches
• Change in occlusion

Exclusion Criteria

• Trauma to head, neck or jaw within last 12 months
• Recent dental extractions
• Taking prescription analgesics/muscle relaxants
• Recent cervical SMT (HVLA)
• Already under care for condition
• Sinus infection

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
TMD group	Active release techniques	Participants will receive ART and have Therabite (mouth opening) and pain (VAS) measured before and after ART

Primary Outcome Measures

Name	Time	Method
Range of Motion	2 weeks

Secondary Outcome Measures

Name	Time	Method
VAS pain scale	2 Weeks

Trial Locations

Locations (1)

Logan University, College of Chiropractic; 🇺🇸 Chesterfield, Missouri, United States